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www.ahrq.gov/antibiotic-use/long-term-care/improve/tools.html
June 01, 2021 - The Gap Analysis helps identify activities that are fundamental to an antibiotic stewardship program … The Commitment Poster is a public display of your institution’s commitment to prescribing antibiotics … frequently asked questions beyond the scope of this program, such as infection control and prevention or antibiotic
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psnet.ahrq.gov/node/837692/psn-pdf
July 20, 2022 - and Quality Safety Program for Improving Antibiotic Use
and the COVID-19 Pandemic. … and Quality Safety Program for Improving Antibiotic Use and
the COVID-19 Pandemic. … Prescribing antibiotics increases the risk of resistant infections and can lead to patient harm. … /ahrq-safety-program-improving-antibiotic-use
https://psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad … https://psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
November 01, 2019 - Moment 2: Have I ordered appropriate cultures before
starting antibiotics? … Can I stop
antibiotics? Can I narrow therapy or change from
intravenous to oral therapy? … “Does my patient have
an infection that requires antibiotics?” … It may not occur
immediately after discontinuing antibiotics. … Slide 21
Clostridioides difficile and Antibiotics
SAY:
Virtually all antibiotics can increase
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-four-moments-double.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making in Long-Term Care 4x6 Cards
Does the resident have symptoms … What duration of antibiotic therapy is
needed for the resident’s diagnosis? … Can we
stop antibiotics? Can we narrow therapy?
Can we change to oral antibiotics? … What duration of antibiotic therapy is
needed for the resident’s diagnosis? … Can we
stop antibiotics? Can we narrow therapy?
Can we change to oral antibiotics?
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-slides.pptx
November 01, 2019 - Program for Improving
Antibiotic Use
AHRQ Pub. … Pharmacy and Therapeutics
(P&T)
Committee Decisions regarding formulary and restriction status of antibiotics … consults for patients with complicated infectious disease problems or for patients receiving certain antibiotics … Review ASP responses to antibiotic shortages. … guidelines
Consider guidelines for select antibiotics
Those that are expensive, highly toxic, and/or
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Indicate if mechanical bowel preparation or oral antibiotics (Check all that apply)
Slide 9: Normothermia … Slide 12: Prophylactic Antibiotics
Image: Sample form covering prophylactic antibiotics:
Did the … Indicate name of antibiotic 1
Indicate administration time for antibiotic 1
Indicate name of antibiotic … 2
Indicate administration time for antibiotic 2
Slide 13: Prophylactic Antibiotics
Did the … Image: Sample form covering prophylactic antibiotics:
Case duration.
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psnet.ahrq.gov/issue/appropriateness-outpatient-antibiotic-prescribing-among-privately-insured-us-patients-icd-10
January 29, 2020 - Study
Classic
Appropriateness of outpatient antibiotic … Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based … Prescribing unnecessary antibiotics increases the risk of resistant infections and can lead to patient … Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based … June 10, 2020
Prevalence of inappropriate antibiotic prescriptions among US ambulatory
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psnet.ahrq.gov/node/836710/psn-pdf
March 09, 2022 - Implementation of an antibiotic stewardship program in
long-term care facilities across the US. … across-us
Overuse of antibiotics has been common in nursing homes; therefore, antibiotic stewardship … Use developed programs and a toolkit to improve
the appropriate use of antibiotics. … https://psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes … /ahrq-safety-program-improving-antibiotic-use
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
June 01, 2021 - ☐ Establish and review antibiotic use protocols
☐ Monitor antibiotic use
☐ Track antibiotic use data … Is there is a formal procedure to review the appropriateness of all antibiotics 48–72 hours after … ☐ Yes
☐ No
Is there a process for intravenous to oral conversion of antibiotics in the pharmacy … Stewardship Team to target antibiotics commonly associated with Clostridioides difficile infection ( … any culture or susceptibility results as a strategy to assist prescribers in selecting appropriate antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - Yes
No
Why We Have to Improve Antibiotic Use
Antibiotics are unlike any other drug, in that the use … We are running out of antibiotics.
We won’t get new ones soon. … departments for adverse events attributed to antibiotics.
1. … It’s to ensure that there are systems and support to help every provider use antibiotics optimally. … Overuse
Hospitalized patients are ill
Early, appropriate antibiotics are life saving
“Chagrin” factor
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.pdf
October 01, 2016 - Sample Policy Letter
[NAME OF NURSING HOME]
RE: Antibiogram Policy
[DATE]
Antibiotics are among … Unnecessary prescribing practices by clinicians
and overuse of newer, broad-spectrum antibiotics when … clinical specimens sent for laboratory testing and the
susceptibility of each organism to an array of antibiotics … Use of antibiograms helps reduce
reliance on broad-spectrum antibiotics as initial therapy and leads … to fewer clinical failures of
antibiotics that are first prescribed.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.docx
October 01, 2016 - Working With a Lab To Improve Antibiotic Prescribing
Tool 5. … Sample Policy Letter
[NAME OF NURSING HOME]
RE: Antibiogram Policy
[DATE]
Antibiotics are among the most … Unnecessary prescribing practices by clinicians and overuse of newer, broad-spectrum antibiotics when … Use of antibiograms helps reduce reliance on broad-spectrum antibiotics as initial therapy and leads … to fewer clinical failures of antibiotics that are first prescribed.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
June 01, 2021 - for Improving Antibiotic Use
AHRQ Pub. … Use
Two measures of
monthly antibiotic use (by antibiotic)
1. … Days of antibiotic therapy
2. … 7
Antibiotic Starts
Count number of new antibiotics courses started in the facility in each month … New admissions on antibiotics should be included as a new antibiotic start
This is to capture total antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Moment 1: Does my patient have an infection that requires antibiotics? … While the decision to prescribe antibiotics occurred in the hospital, whether to continue antibiotics … The resident likely did not need any antibiotics. … Can we stop antibiotics? Can we narrow therapy? … Antibiotics should have been re-evaluated and stopped early on in his course.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
September 01, 2022 - To temper expectations and ensure patients understand why the decision to not prescribe antibiotics might … If one clinician tends to always prescribe antibiotics for acute bronchitis, and a patient has had a … reaction to antibiotics, perhaps a reasonable comment is, "I am concerned that the patient had a reaction … How do you think we can ensure that our patients get antibiotics only when appropriate to make things … and think of conditions for which alternative antibiotics could be considered?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Influenza and RSV
Ambulatory Care
Slide Title … an infection that requires antibiotics? … Antibiotics will not help. … Slide 29
The Four Moments of Antibiotic Decision Making
SAY:
Let’s talk about Moment Three: If antibiotics … For RSV, antibiotics are not indicated.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - Slide 5
The Four Moments of Antibiotic Decision Making
SAY:
Let’s review our Four Moments of antibiotic … likely has an infection that requires antibiotics, let’s consider our second moment of antibiotic decision … stable within a few days after starting antibiotics. … Stopping antibiotics is not correct. … Prophylactic antibiotics can contribute to the development of antibiotic resistance and C. difficile
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-facilitator-guide.docx
June 01, 2021 - diagnostic and treatment protocols for UTIs and respiratory tract infections that detailed recommended antibiotics … Showing data like this to prescribers, along with an evidence-based protocol with recommended antibiotics … The data also show how frequently he ordered a urine culture prior to initiating antibiotics for a UTI … These can be adapted from resources such as the Loeb minimum criteria for starting antibiotics, the revised … This can be helpful to monitor lengthy prescribing practices, but it doesn’t provide data on antibiotics
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit2-concise-antibiogram-toolkit.html
October 01, 2016 - Using Nursing Home Antibiograms To Choose the Right Antibiotic (Concise Antibiogram Toolkit) … When an antibiogram was implemented in nursing homes, results suggested that it had an effect on antibiotic … an infection during a certain time period—along with the susceptibility of each organism to various antibiotics … Because antibiograms provide information on local susceptibility patterns, they may improve the use of antibiotics … Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
June 10, 2014 - We’re fast running out of antibiotics and we’re not getting new antibiotics very soon, and we know that … We also know that antibiotics have side effects and if you give people antibiotics unnecessarily, you … We also know that improving the use of antibiotics can actually reduce antibiotic resistance. … Well, very simply, antibiotics stewardship is simply ensuring that every patient gets an antibiotic only … some of the risks of antibiotics.